养老机构老年人疼痛现状调查及影响因素分析
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四川大学华西医院疼痛科

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四川省科技计划资助项目(编号: 2024YFFK0254,2023YFS0255和2024NSFSC1644)


A Survey of pain and its influencing factors among older adults in nursing home
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Department of Pain Management, West China Hospital of Sichuan University

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    摘要:

    目的:调查养老机构老年人疼痛发生的现状,探讨并分析其影响因素。方法:研究为横断面调查,在2023年4月至2024年5月期间,采用便利抽样选取成都市5家养老机构共364位老年人为调查对象。从一般资料、疼痛发生状况、患者健康状态、广泛性焦虑量表(general anxiety disorder-7, GAD-7)、健康抑郁问卷(patient health questionnaire-9, PHQ-9)等几个方面进行调查,采用单因素及多因素Logistic回归分析影响因素。结果:364位在养老机构居住老年人中,疼痛发生率为70.9%(258例),焦虑发生率为16.5%(60例),抑郁发生率为42.0%(153例)。Logistic回归分析结果显示高血压病史、既往疼痛相关疾病史、未使用镇痛药物、未住院治疗是养老机构老年人疼痛发生的影响因素。结论:养老机构老年人群疼痛发生率较高,抑郁状态发生率较高,高血压病史、既往疼痛患病史、未使用镇痛药物、未因疼痛住院治疗是疼痛发生的影响因素,建议制定相应干预策略以改善养老机构老年人群疼痛管理质量。

    Abstract:

    Objective:To investigate the status of pain occurrence and its influencing factors among older adults in nursing home. Method:This cross-sectional survey conducted from April 2023 to May 2024, a total of 364 elderly people from five nursing homes in Chengdu were selected using convenient sampling. The survey was conducted from several aspects, including general characteristics, the status of pain occurrence, patient health status, general anxiety disorder-7 (GAD-7), and the patient health questionnaire-9 (PHQ-9). Univariate and multivariate Logistic regression analysis were used to identify the influencing factors. Results:Among the 364 elderly people in five nursing homes, the incidence of pain was 70.9% (258 cases), the incidence of anxiety was 16.5% (60 cases), and the incidence of depression was 42.0% (153 cases). Logistic regression analysis showed that the history of hypertension, previous history of pain-related diseases, unused analgesic drugs, and no hospitalization were the influencing factors for pain among elderly people in nursing home. Conclusion:The prevalence of pain occurrence and depression among elderly people in nursing home is high, and the hypertension, previous history of pain-related diseases, unused analgesic drugs, and non-hospitalization are influencing factors of pain occurrence. It is recommended to develop targeted intervention strategies in order to enhance the quality of pain management for elderly individuals residing in nursing facilities.

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  • 收稿日期:2024-08-04
  • 最后修改日期:2024-09-30
  • 录用日期:2024-12-13
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